<h1>Contact Us</h1>

                    <div id="contact_form">
                    
                        <form method="post" name="contact" action="#5">
                        
                            <input type="hidden" name="post" value=" Send " />
                            <label for="author">Name:</label> <input type="text" id="author" name="author" class="required input_field" />
                            <div class="cleaner_h10"></div>
                            
                            <label for="email">Email:</label> <input type="text" id="email" name="email" class="validate-email required input_field" />
                            <div class="cleaner_h10"></div>
                            
                            <label for="subject">Subject:</label> <input type="text" name="subject" id="subject" class="input_field" />
                            <div class="cleaner_h10"></div>
                            
                            <label for="text">Message:</label> <textarea id="text" name="text" rows="0" cols="0" class="required"></textarea>
                            <div class="cleaner_h10"></div>
                            
                            <input style="font-weight: bold;" type="submit" class="submit_btn" name="submit" id="submit" value=" Send " />
                            <input style="font-weight: bold;" type="reset" class="submit_btn" name="reset" id="reset" value=" Reset " />
                        
                        </form>
                    </div>

                    
                    <div class="address_info">
                    	
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                        <h3>Address</h3>  
                    	
                    	110-220 Quisque odio quam, <br />
                        Pulvinar sit amet convallis eget, 10680<br />
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                        <strong>Email:</strong> <a href="#">info@yourcompany.com</a>
                        
                    </div>